The Middle

Why is it that no one tells you how bad the middle really is?

How the pain and feelings you’ve buried for so long will begin to resurface with a vengeance that can be far too strong. 

How you’ll begin to feel happiness again, smiling and laughing with family and friends

Despite the near constant exhaustion of battling your inner demons.

 

Why is it that no one tells you how long the middle lasts?

How you trudge through the hours and minutes of each day contemplating whether you did the right thing.

How you’ll feel like you have come so far and feel like you might make it to the end

Only to start going back to your old behaviors, steering towards complete relapse.

 

Why is it that no one tells you how the middle changes you?

How you’ll be unsure of who you’ll become and what will be left when all is said and done.

How you’ll feel relieved when the person you were meant to be is cautiously allowed to be seen

Yet petrified that the person you’ve grown into cannot coexist.

 

Why is it that no one tells you how hard the middle is?

How uncomfortable and painful it is to battle your thoughts and behaviors relentlessly.

How you’ll begin to conquer your fears and break all your made up rules

Only to realize your mind has formulated dozens more.

 

Why is it that no one tells you how lonely the middle is?

How you’ll be surrounded by people trying to help and still feel like your just out of their reach.

How you can be in a room full of people who understand sharing your struggle with them

Yet feel like you’re still hopelessly alone.

 

Why is it that no one tells you how agonizing the middle is?

How your formerly corpse like body begins to show signs of life so you pretend to be as okay as your body now seems. 

How you’ll be able to tell some of your most shameful thoughts and tattle on yourself when you engage in behaviors

Even though you’re still in agony behind your no longer lifeless eyes.

 

Why is it that no one tells you how bad the middle is?

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A Skeleton and A Skiff

Dear ED,

I’ve been thinking a lot about the decision I made to jump ship last year and take my chances against the torment of the ocean and storm; to watch you go down while trying to be rescued by those desperately trying to save me. It was the hardest decision I have ever made, to let go of everything I knew, and abandoning you at the helm and casting myself overboard. You’ve always been a perfect ship, like a yacht among a fleet of ratty old skiffs.

I painstakingly watched you slip further and further beneath the crashing waves and torrential rains as I tried to get to those coming to save me. But they were farther than I thought and the storm was worse. When I relayed my SOS calls they promised it would be okay, promised they’d be there for me, promised they would get to me. The life preservers are in the water, their spotlights are pointed towards me yet I’m still not getting any closer. I’m treading water. I’m retreating in the rip currents, and getting torn apart by the wrath of the storm.

I look out to them and I see the sun. I see ships that are steadfast, strong, and stable, like you once were. Why can’t I get to them? Why am I still sinking?

I feel like all I’ve done is thrash about as the waves collapse over me.Sometimes, I’m more skilled and can catch the wave before it breaks; but most of the time I don’t even see it coming getting pulled down by the undertow until the wave settles or until I realize I’m still grasping their lifelines and manage to resurface. I gasp for air, gasp for life, gasp for hope. More often now I want to let go of the ropes tossed out to me, the ones being tugged on with every ounce of sweat, blood and tears that those in the distance have in them. I hear them calling out on their loudspeakers but usually the sound is drowned out by the waves and emptiness in me since you sank. I look around at the bits and pieces left. I feel like I caused this, like I killed you. I’m guilty. I’m hurt. I’m scared.

I keep thinking I should just let go, let the waves overtake me and lose sight of the ships once and for all. I could surrender myself to the undertows and the serenity of what will be when I am shielded by the storm and at peace in the beauty of the ocean’s depths. Yes, letting go is scary. Yes, I know those on the ships will be disappointed. Yes, I know they will scream out to me and send out rescue missions, calling out my name in a desperate search for the soul they once knew or the glimpse of the one the see for my future.  And yes, I know the search might kill them. I’m inviting them into the storm, I’m letting them watch me give up and yet, sometimes I still feel like it would be better than making them continue holding onto that lifeline indefinitely. I’ve tortured them, exhausted them, failed them. They’ve finally seen bits of the real me. They’ve seen me fight against them, they’ve seen me betray their trust. They are battered and bruised from trying to pull my body back to them. What if I do managed to get to them and they see how damaged I’ve gotten through the storm and after years on the ship and cast me off anyway. I can’t blame them. I’m not deserving of their ship’s safety or to walk among them in the harbors.

I imagine what it’ll be like, when I’ve reached the ocean floor. After all the rain, all the currents and all the screams are gone. I imagine my magnificent yacht at rest and wonder how scarred and depleted you are from trying to stay afloat after I bailed on you. What it’ll be like to be reunited, to be free and able to lay in peace with you beside me. I know that I’ve left you for quite some time and I wonder if you’ll recognize me and I, you.

So I let go of the rope. I stop fighting the currents, the waves, the false promises of my rescuers. I am overtaken by another wave. I feel the water drowning me from the inside out. I want to scream, everything hurts but the pain is nothing compared to what I’ve been tolerating since I jumped overboard. I relax my body, think about the safety of returning to the ship I’ve lived on for so long. My eyes close and finally I can really relax. I feel free for the first time since I was a kid. The streaks of sunlight casting through the millions of water molecules dim until everything is just still and dark.

Finally I see you. My Protector. Your stern is leaning against in the ground, a crater in the once unruffled sand. The silt is glossing over your once sparkling body. In our solitude, without disruption of the storm, of the other boats or the thoughts that once raced in my mind I look at you. I really look at you.

You’re a skeleton.

You’re not the yacht. The one that once safeguarded me from the dangers of the world and made me indestructible in the worst of the storm.

You’re the ratty old skiff. You always were, I just never could clearly see.

But it’s too late, I can’t get back to the surface. I can’t grasp the lifeline any longer. I imagine what would’ve happened if I had just held on. Would I have made it? Would they have reached me? Would the storm have calmed? But I’ll never know.

And now all that’s left is a skeleton and her skiff.

 

 

 

 

 

 

 

Going to Residential…

I am officially too sick.

That’s a thought I never once had before seeking help for my eating disorder.

It only became a faint thought when I talked to the admissions officer at PHP and then once I got in, I figured I was good. But starting with my tears over a pineapple cup and the realization that I wasn’t lying about my food intake they instantly began to raise concerns while simultaneously raising my calorie count as rapidly, safely and efficiently as possible.

To get me to the minimum 1000 calorie amount per day I am on 2 Ensure Plus’ a day and they let me bring my own safe food for lunch and dinner (which is the same 1 thing) and they work with me to get my snacks and other intake up higher. I purge too. Which has caused an abnormality on my EKG that is consistent and is requiring me to get EKGs every single week along with getting my blood drawn. The purging is scaring them, in addition to everything else, because they fear it will cause me to have a heart attack. I am scared but I can’t stop, I’ve lost control of everything. I can’t see what I look like, comprehend what I am supposed to eat or how much, know what’s normal and not about feelings toward food, know how to stop the instinctive purging and restricting. I just don’t know how.

So with that, they have officially recommended residential treatment.

I am too sick for PHP, I need more advanced care at a place with a doctor 24/7 and a full time staff to keep me from purging and restricting while I am not at the clinic like I am now. I have to uproot my life, go to Wisconsin (probably) and give up the “freedoms” I have (really they are my ED’s freedoms) and give them to someone else to try and save my life. It’s odd. I am technically not getting rid of my freedom since I guess I don’t really have any while living under this ED but still, it feels like I am giving up everything whereas right now I at least have the pseudo feeling of control and freedom.

My medical director at PHP has called the medical director at their residential facility in Wisconsin to see about getting me in ASAP. They will have a timeframe on Monday so I’ll know when I’ll be flying up. This will be an interesting flight. Instead of going on vacation to Chicago and DC in 3 and 5 weeks like I was supposed to, I am going to be in Wisconsin and not exactly on vacation. I guess that’s life.

Until then, I am on watch. My little sister is staying at my apartment. My therapist and dietitian and psychiatrist have all talked to her and my mom about how much I eat and how I am not allowed to use the bathroom for 30 minutes after meals and for the 30 minutes after that if I do, I have to talk to her the whole time (so she knows I am not purging). I have to eat multiple times a day (I eat small meals due to my GI conditions and because I have less urges to purge when I never feel full) and drink 2 Ensure Plus’. We try to keep me on the same time schedule as at PHP because they are trying to make this easy on me transitioning between weekend and weekday.

I feel like a newborn that they are trying to get on a schedule.

On top of that I went shopping today with my sister after lunch to distract me from food thoughts. I tried on a sweater that is long like a dress and would look good with leggings and I was showing my sister in the dressing room and she looked taken aback. I asked her if it looked okay and she said that you could see how skinny I was in it. She said to get the larger size, much to my EDs hate and the negative self talk went wild, but I did because she said the other one was scary how thin I was. The saddest fact is that I don’t see it. And she knows I don’t so she didn’t fight it but just said that they are supposed to be looser and it’ll be more comfy in residential and in winter so I did.

I wish I could see what she sees though.

So that’s how it is right now. Residential is my fate. I have both come to terms with this and not.  I waver back and forth but feel a lot better than I did Thursday when I deduced that the psychiatrist was recommending residential  after they asked if my mom could come to a session. That, I didn’t handle well because there were still so many questions. But I talked to a friend, we will call her M who has been to residential before we met and J, who is currently in PHP with me and who I’ve become friends with quickly, and she has also been to residential in the past and they both really made me feel better about it. So for now, this second, I am okay with the prospect of residential. Maybe it’s a chance for me to reassess my life and live somewhere new for a bit. I’ve been wanting to move up north for a long time now anyway.

But honestly, I never thought I would ever be too sick for treatment, I always thought I wasn’t sick enough to even complain about my situation but I guess, that’s all part of the illness.

PHP Recap: Week 1- So much doubt.

I have mixed feelings about recovery and treatment right now. I know I’ve been MIA the last week (sorry!!) but adjusting to being open and honest about my eating disorder is almost as difficult as hiding it.

2 things I would love advice on:

  1. If anyone knows/has experience with CBT focused on ERP (Exposure Response Prevention) treatment, please tell me I am on the fence as to if it is going to help (I don’t have any co-existing disorders). Do you find group therapy and more talk therapy helpful? Or no? Idk.
  2. I hate hate hate hate my psychiatrist.

Here’s my life since beginning treatment in a (quickish) recap:

Trigger Warning: calorie and food specifics. (I don’t want to trigger anyone but part of it is needed to make sense, and the other reason I am doing this blog is to remember it for myself so I want to be able to look at how far I have come. Please do not continue if you are easily triggered or pro-eating disorder.

  • I started Partial Hospitalization (PHP) on 9/3, two days after my birthday.
  • My program runs 8 hours a day. 8 *jaw drop*
  • I have cried every. single. day.
  • Day 1 I actually ate less than I typically eat in a day and they are now letting me bring my safe foods to make sure I am eating enough while they reintroduce food.
  • They think they want to send me to residential
  • I only had 1 safe food going into treatment, and ate 200-300 calories per day.
  • PHP requires we be at 1000 minimum *jaw drop* and they are trying to get me there ASAP
  • My therapy is CBT with Exposure Response Prevention being a BIG component of it I am still now sure how I feel about it, any advice is greatly appreciated.
  • I DESPISE my psychiatrist. I told my therapist and I am praying they let me see a different psychiatrist because this one is evil, mean and honestly I would trust a murderer before I trust him. Some perspective on this: I’ve only ever said I flat out dislike 4 people in my ENTIRE life. He is #4 so it’s not just me clouding my judgment.
  • I LOVE my dietitian!!! She has been so STELLAR about getting me adjusted to more than one food and up to the right number of calories and really doesn’t judge anything.
  • I wish there was more group therapy. If I go to residential I will need to find somewhere with more of this because I am a very, VERY social person and I feel like I am able to come to terms with my situation when I can talk it out with others.
  • I have had 2 EKGs and so many vials of blood drawn in the last week but the new medical doctor they make us go to was super nice and very trusting. I was petrified to go but I really liked him and in 20 minutes of talking to him I told him more about my ED than I revealed to my psychiatrist in 2+ hours.
  • Did I mention I have cried EVERY. SINGLE. DAY. !?
  • I have a family session tomorrow. Eek! My family is amazing but I am very unaccustomed to being vulnerable and sharing my feelings with them. I don’t like it.
  • I have lied about how much I purge and restrict out of fear of going to residential.
  • I am not sure what to do because part of me is realizing I need residential (one of the other ED patients even said she thought I needed it)
  • Part of me has no desire to get better even now that I am in treatment.
  • Part of me really wants to get better, especially now that I am in treatment.

But, things got better than they were day 1; however, I am still not sure about everything. Is it weird that I am more motivated to recover when I am there and not so motivated at home?!

I’ll be sure to write more now that I am semi-acclimated. Plus, I definitely will need to after my family session.

At A Loss

I just don’t have words anymore.

I feel empty. Pure emptiness.

I don’t want to be with people; I don’t want to be alone.

I’m not happy; I’m not sad.

I don’t want to be awake; I don’t want to lay in bed.

I’m not lonely; I’m not overwhelmed.

I want to cry; I don’t want to cry.

I want to confide in someone; I don’t want to confide in someone.

I want to live; I don’t want to live.

I don’t feel anything.

original

I just don’t know what to do. I have to go see my doctor on Tuesday but I feel like I shouldn’t say anything because I don’t want to be a burden and I already have enough issues for them to worry about. I don’t even know what’s causing it, I mean life has just become so unraveled since I spoke up about my eating disorder. I have had to officially give up my marathons and completely stop running, drop my fall semester classes because PHP will prevent me from going to classes and the doctors said to medically withdraw from the term, I have had to tell people, i had to stop going to the gym. dealt with the stress of getting into a treatment program, go to the doctor weekly, start new medications and deal with the stupid side effects.

It’s a lot.

Maybe I am just over stressed. Maybe it’s the new medicine that is making me feel like this. Maybe it’s just in my head. Maybe it’s anything. Maybe it’s nothing.

I’ve just never felt like this before. Ever. Not even when I was alone in my struggle with this eating disorder but now I can’t get rid of the emptiness and I don’t know what to do to make it stop.

The one thing I do know: I am losing myself. I am barely inside anymore. I am just a shell of who I used to be but the fire inside me, my soul, my self is smaller and farther away than ever; and I’m not sure I can get it back.

Grapes & Gratitude

I made it through my doctor’s appointment and survived the encounter with… The Scale. Seriously, words cannot express my anxiety around scales and knowing my weight. On one hand, I want to know (but really, I think it’s the ED part of me that wants to know because I want the number to be lower); on the other hand, I don’t want to know (this part I think is the real me because it is the part that is scared of the self-hatred and self-harm thoughts if the number goes up). So yeah, it’s a complicated relationship and it won’t end well either way because either the ED part of me gets stronger and more satisfied or the real me gets beat up and bullied by it.

Today my ED was happy. VERY happy. I, however, was more than a bit ashamed of the happy thoughts flooding my body after seeing the drop in weight again. I could soon reach underweight status, my potassium is so low my doctor looked me in the eye and said “you are at risk of heart failure”, I can’t run off my anxiety, frustration or fear, I am too tired and disoriented to carry on conversation after a few hours of being awake. I am dying and yet, I feel happiness for losing weight but I also feel guilt for feeling the happiness. I am infinitely messed up, trapped and terrified.

However, I did actually have some REAL ME happiness today too. The kind that makes the ED part of me angry, loud and mad but only because it means that part of me is slowly being attacked by the old, happy, me. Today, I experienced two things: Grapes and Gratitude. Let’s start with gratitude.

I have from the get-go had so much respect and gratitude for my Nurse Practitioner at the doctor’s office. I always see her and have since I started going to this practice and she managed to get my trust (something that is very hard for medical professionals to do since my whole stomach debacle) enough to make me feel like I could trust her with my deep dark ED secret. And when I did go and tell her about it, she was nothing short of absolutely amazing, caring, concerned, trusting and non-judgmental. As I progress toward getting into treatment she has been so supportive and continues to be both honest but caring at the same time, never blaming me but instead working with me to try and figure out a solution for now until I can get to the psychologist, psychiatrists and other therapists. And perhaps what I am the MOST grateful for, she has never once made me feel like I did this to myself, never once made me feel like anything she said was condescending and never once made me feel like I am not sick. So yeah, complete and utter gratitude for her. I am, however, petrified because next time I go… I have to see the Physician Asst. instead because my amazing NP is going on maternity leave. She promises to be back soon and that the PA is stellar (she said this at two different appts so I am taking comfort in that she reiterated it) and said that she really likes her, herself. I, however, am scared to death. But still, I am so gracious for my NP and grateful that she warned me and talked to me about it before it happens so that I am not overwhelmed with surprise next time and she let me know she would talk to the PA about everything before she leaves too. Woo!

Also at the appointment she scared me to death when the ER, hospital and my horrifyingly low potassium levels were brought up. I don’t want a heart attack or to go into heart failure. I don’t want to die, that’s why I asked for help. Yet, I am on the verge of death. We had a very critical and terrifying conversation about eating more. I explained all my fears and we decided that trying to get  more fruit and veggies would be easier (she said she prefers fruits because I need more nutrients they offer and my 1 safe food is a veggie 😉 ) Until about 4 months ago there was one other vegetable and one fruit that was “semi-safe” but only in very limited quantities to ED. Today, I promised I would try and eat more and I am so gracious for all my NP’s help and support (in addition to my family) that I really did want to try and overcome my horrid ED thoughts which brings me to: grapes.

Seriously, I have been CRAVINGGGGGG grapes for weeks now. So after my appointment I went to Publix (best grocery store ever!) and the anxiety was so bad I had to call my mom on the way in and ask if grapes really were healthy and okay to eat. After she confirmed that and we talked about the appointment I knew the anxiety was only going to get worse. It’s kinda like when you skydive, the longer you sit on the edge of the plane the harder it is to convince yourself to jump so I went in, got a small produce bag (buying the whole thing of grapes like my mom suggested made me cry just thinking about it) and I just opened one of the bags and took a stem of the grapes and put it in the produce bag and tied it shut. I think I only tied it so I couldn’t put them back haha.

I am sure I looked like a crazy person, I called my mom and asked if grapes were healthy. I am a twenty-something grown-up lol I should know this; but when your brain lies to you for so long it gets to the point you don’t know what’s real and what’s not. Then I got in the car with my “unsafe” grapes. I knew I couldn’t just go home and eat the grapes because I knew my ED would get the best of me so I took a handful and as I drove I ate the first one. It was SO. DARN. GOOD. Cold and crisp on the outside and juicy and delish on the inside! The taste was seriously the best grape I have probably ever had! ED me was having a FIT and berating me but I ate a second one and eventually finished the whole handful! It’s not a lot- I know- but I was feeling full and didn’t want to make it worse. Also, I had arrived at my location– the make up store. I needed some new make up so I went in, went to the lady and asked her to demo the kind I wanted to try and it worked. Omgosh at first I could barely hear her over the ED thoughts but after a bit ED me gave up on getting me to purge the grapes AND I bought some new make up after I had a fabulous make over.

And that, even though it’s not a lot,  is my first REAL RECOVERY WIN!!!!

But seriously, my NP is the bomb dot com. LOVE her and I am still freaking out over her leave of absence but she hasn’t led me astray yet and I have to  believe the PA will be just as good.

MEDICALLY CLEARED for Treatment!!!

This GIF pretty much sums up my feelings: a touch of relief/excitement mixed with sheer horror. One hurdle down and closer to getting into a program. My doctor (or rather, Nurse Practitioner since that is who I see) is the bomb dot com and called me back and said although my labs are consistent with being malnourished and she is concerned that they are still stable and she can clear me! I am both terrified and relieved.

I am going in tomorrow afternoon for another set of follow-up labs to check my potassium and other levels (because they are pretty out of whack) and I can get the letter and paperwork I need too. It’s all getting so real again whereas the last 10 days have had me living in a neutral state where I have been allowed to exist with my ED. Not that I mean anyone supports the ED, but where they are just trying to be supportive toward me while I get everything sorted out and they’ve been trying to encourage me to eat more but haven’t given much push back when I struggle or give into my ED brain. But now, now that I can get medically cleared it’s one step further. Now, I am going to have to talk to the treatment center again, have the case re-reviewed by the medical board, hopefully get this cleared by insurance (that’s my next major hurdle that I am freaking over) and then beginning treatment. But tomorrow, tomorrow is the next step and it feels horrifying, scary and slightly relieving at the same time.

One Week Anniversary

This exact time last week I was crying in the exam room. I was confessing my biggest skeleton in the closet, my long held secrets, fears and spilling the beans on everything I have come to know in my life.

The first time the words eating disorder were associated with my name, the first time I heard the words treatment center uttered in relation to who I was, the first time in my life I was unable tell my mom something.

What has changed in the last week?

Nothing, really. I still abide by my ED habits the only difference is now my mom, 2 sisters, best friend, doctor, random guy at the treatment center and (as of this morning) one of my aunts and uncles knows. I have also had an emotionally charged week, at least that would be putting it nicely. For the first time in a longggggggggggg time I have expressed my feelings to my mom (ending in a MAJOR blow up last night after I posted). I know everyone is trying to help but sometimes telling me that I need to do something (try harder, change my thoughts, etc.) is just not helpful especially because that is WHY I asked for help.

I still am waiting on a call from the doctor today about what I am supposed to do to get medically cleared for treatment in PHP or IOP. I am praying that I actually can get cleared and I don’t have to do inpatient. I don’t even want to think about that right now.

But ultimately, the last week has been this odd place to be. It’s like living the life of an ED without the secrecy. It’s strange, really. People encourage but don’t push me. I don’t think they know quite how to help and I certainly have no idea what to do so I just keep trudging along.

Hopefully I hear soon. I want to be done already. I’m tired of wandering around between the world of eating disorders and the world of recovery, I am scared the eating disorder one is pulling me back in by the day, slowly suffocating me back into the depths of the disease and far away from those trying to help me.

Could “Not Sick Enough” be “Too Sick”??

“I’m not sick enough,” that’s frequently what I have told myself leading up to where I am right now but never ever did I think I might be too sick for recovery. That’s right, too sick.

That’s what happened today on the phone with the PHP/IOP program I called. The guy I spoke to was so incredibly nice and really was very understanding and patient when I wouldn’t know the answer or rambled or whatever. I felt, oddly comfortable talking to him which is rare for me because I am not an outwardly emotional person about my deep dark secrets (I am not a stone cold person either I just prefer to not talk about my personal issues with others). We talked about a lot of the same things I discussed with the doctor on Thursday and about my eating habits, what I am scared of, how it is affecting my life, what types of programs they have, do I have symptoms of a plethora of other mental illnesses or issues. It lasted just over 1 hour. One of the questions was about my side effects,

(trigger warning)

I decided to be honest, totally honest and told him that I have passed out 6 times in the last 2 1/2- 3 weeks and collapsed about 5 more times. I told him about the chest pain, about the night blindness, numbness in my limbs, crying in the grocery store, everything i could think of.

(end trigger warning)

Then came the Concerned Voice. The “you may need a higher level of care” conversation.

Me??? Need higher level care than partial hospitalization or intensive outpatient?!?! I never thought I was even bad enough for IOP!! How could I be worse than PHP!!? These thoughts raced through my mind, overwhelming my emotions. Then came the next thought: They aren’t going to help you. My biggest fear. I mean granted, I always thought they wouldn’t help me because I wasn’t sick enough but now, now I am facing possibly being too sick. My biggest fear is not being helped because, quite frankly, when the doctors couldn’t figure out my GI issues they said “use trial and error.” No joke, those were the words. That’s how I ended up here because I was so scared of the error that I eliminated any chance of error (and every single food except 1 between that and the ED taking over).

The guy I was speaking to could tell I was taken aback. At the end of the conversation he said he would bring it to the doctors and treatment team to see if they would consider the case given that information or what they would recommend. My head was going nuts, I was almost completely in tears. They aren’t going to help was blaring in my mind, racing a million miles an hour. He asked me, “Do you have any questions?” I couldn’t think straight with my head yelling at me, my ED brain screaming at me that of course telling was the wrong decision and this is what I knew would happen and all I could muster was “if you can’t help me then what do I do?” And tears. He assured me that if they couldn’t help me in my current state that he would come back with some kind of referral to another treatment center to another doctor or someone who would be able to provide the level care they thought I needed. I confirmed I understood but I didn’t. I didn’t understand anything.

How could I possibly be too sick?!?!? I’m not sick. I’m not that bad at all, that’s all I have thought for so long that maybe I was wrong. Maybe I really am too sick to even see it.

After I hung up, I just laid down in bed (I was already in bed) and cried. I felt, defeated, lost and hopeless. I felt the exact same way I had after I realized no one could help with my stomach. I felt dead. I had no idea what to do but I had promised my mom to call her. I called her. I cried that no one was going to help that I was all alone, that I might not be “medically stable” and that I didn’t want to do this anymore (both have the ED and seek help).

To be honest, I think part of how upset I was had a lot to do with the fact that it kind of all hit me hard. Here I was facing something much more serious than I thought I originally was. It’s scary to admit you have a problem, it’s even scarier when they tell you that you are much more critically sick than you can see, feel or realize on your own. PHP/IOP are terrifying, the thought of inpatient or residential is downright horrifying. I don’t feel skinny enough or sick enough still and I am still coming to terms with the words ‘eating disorder’ coinciding with my name and coming out of my mouth. It’s a LOT to take in, to come to terms with, to get straight in your mind when you are already aware that your mind is lying to you. So I think my crying, frustration, loss for words, patience and exhibition of sheer terror was just me trying to finally deal with everything and sort it out, something I normally do in the gym or on a run- which I currently can’t function long enough for.

I miss running.

The good news, however, is the guy called me back within a half hour because he was able to get with one of the docs immediately. The doctor recommended going to the ER. I couldn’t fathom that, after all it’s been a few days since I passed out last and honestly, I can’t handle the stress of explaining the situation to MORE strangers. Telling my doctor, my best friend and him all in 6 days is much more than I can handle right now. It’s all moving too fast. They said if I downright refused the ER I could have my doctor do it. Yes. Manageable. Much more manageable. After all she ran blood tests and an EKG while I was there on Thursday. I can handle calling her.

In the end, that’s all I have to do. Provide them with proof I am medically stable (still can’t believe I might not be, so scared) and they will look at the case to see about PHP/IOP. I am still so terrified they will say I am not medically stable but I am trying to stay calm. I called my doctor and left her a message and my mom was really concerned after talking to me and emailed her and she also sent more resources for possible therapy because when my mom emailed her the guy from the center hadn’t called me back about getting medically cleared by the doc so she sent the information just in case but did say we might want to consider inpatient depending on the complications and if they continue. But, I called her office and left a message (it was late in the day about 4:00ish) so I expect a call back tomorrow and hopefully she’ll be able to calm me down or rationalize the situation for me.

I’m just so anxious and realizing how deep into this I am and I both angry and scared with what I have done to myself. Although, thinking about it for a while has helped calm me down I just still feel so confused and scared with where my life is at and what it all has come to.

I’ll keep y’all updated!